MEDICARE: RACHEL J KANG BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	BACB563650	GA
2	103K00000X	Behavior Analyst	1-24-74119	GA

General Provider Information

NPI Number	:	1194390286
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL J KANG BCBA

Provider Business Mailing Address
First Line	:	3005 BRECKINRIDGE BLVD STE 230
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30096-4978
Country	:	US
Telephone Number	:	678-898-2223
Fax Number	:

Provider Business Practice Location Address
First Line	:	3775 VENTURE DR BLDG M STE 101
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30096-5217
Country	:	US
Telephone Number	:	470-610-4222
Fax Number	:	855-648-5902

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2021
Last Update Date	:	07/30/2024

Similar Medicare Providers

1710573449 — ABA SPECIALISTS ATLANTA LLLP
Practice Location Address:

3775 VENTURE DR STE M101
DULUTH, GA
30096-5217

Practice Phone: 470-610-4222
Practice Fax:

1467027540 — DARCY RONDON COLMENARES BCBA
Practice Location Address:

3775 VENTURE DR STE M101
DULUTH, GA
30096-5217

Practice Phone: 470-610-4222
Practice Fax:

1366115925 — IRIDIAN RAFAELA MARQUINA
Practice Location Address:

3775 VENTURE DR STE M101
DULUTH, GA
30096-5217

Practice Phone: 470-610-4222
Practice Fax:

1841055704 — NAINA SAMNANI
Practice Location Address:

3775 VENTURE DR STE M101
DULUTH, GA
30096-5217

Practice Phone: 470-610-4222
Practice Fax:

1639299654 — MS. DEBRA LEA GOODAN PTA
Practice Location Address:

20310 SUGARLOAF RESERVE DR
DULUTH, GA
30097-5217

Practice Phone: 770-814-0878
Practice Fax:

1487518239 — DANA MICHELLE VINES
Practice Location Address:

3548 TRACEY DR
DULUTH, GA
30096-3861

Practice Phone: 770-490-2652
Practice Fax:

Directions to “ RACHEL J KANG BCBA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.